article thumbnail

A podcast on the evaluation and management of penetrating neck injuries in children

PEMBlog

But now practice is leaning towards the “no zone” approach, where imaginary lines on the skin surface are not dictating management as much as presentation, symptoms, and deciding when to go to the OR versus using CT angiography. If there’s an impaled object — leave it, transport intact, and remove it in the OR.

article thumbnail

Barriers to and Facilitators of Participant Engagement in a Multi-level Intervention for Type 2 Diabetes and Food Insecurity [Clinical trial]

Annals of Family Medicine

Intervention: LINK is a randomized controlled 2x2 factorial trial testing the effect of 2 distinct interventions on A1c: a 6-week culinary and nutrition education class and community referrals to address unmet social needs. Transportation and scheduling challenges also hindered engagement.

Diabetes 130
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Why are So Many Teens and 20-Somethings Today Anxiety-Ridden?

Doctor Rachel

I don’t know how it seems to be going in your home or the town or city you live in, but I am seeing an epidemic of anxious, stressed out teens, in my office and in my community. have lost much of our communal connection. And I am not alone. since the 1940’s. 25% of teens in the U.S. Specifically, Western countries, like the U.S.,

Screening 130
article thumbnail

Advanced Imaging of Children in the ED: Ultrasound, CT, and MRI

PEMBlog

Learning Objectives Demonstrate the ability to use shared decision-making strategies when discussing imaging options with families of pediatric patients presenting to the Emergency Department. And I always say that I do not envy my emergency medicine colleagues, particularly those practicing in community settings.

Families 101
article thumbnail

You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

Many of the children you will evaluate during your shift are among the estimated 10 million United States (US) ED visits made by children with asthma, bronchiolitis, and croup, the most common pediatric respiratory conditions presenting to acute care settings. Pediatrics. 2022 Jan 1;149(1):e2021051405. doi: 10.1542/peds.2021-051405.

Asthma 52
article thumbnail

Telehealth vs In-Person Palliative Care: A Podcast with Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson

GeriPal

And that part of the intervention that maybe goes unrecognized in the article, but is really clear here, is the way in which this, as you said before we started podcasting, the way in which it built community and the way in which you helped each other and helped clinicians and really like. No difference between the two groups, right?

article thumbnail

Time to stop driving? Podcast with Emmy Betz and Terri Cassidy

GeriPal

But then once it was open, started seeing a lot of other populations: not just our own hospital population, but a lot more just community members calling with concerns about driving. And I’ve been to some presentations that use that same breaking bad news model for having these driving conversations, as are used in palliative care.

Families 102